MediRecords FHIR Implementation Guide
1.3.0 - release
| Defining URL: | https://fhir.medirecords.com/StructureDefinition/mr-observation-vitalsign-bodyheight |
| Version: | 1.3.0 |
| Name: | MRObservationVitalSignBodyHeight |
| Title: | MediRecords Vital Sign Body Height |
| Status: | Active as of 2023-09-15 01:10:47+0000 |
| Definition: | MediRecords Vital Sign profile to record the height of the patient in context |
| Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
https://fhir.medirecords.com/StructureDefinition/mr-observation-vitalsign-bodyheight
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from observation-bodyheight
This structure is derived from observation-bodyheight
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 0..* | observation-bodyheight | FHIR Body Height Profile | |
  meta | ||||
  lastUpdated | S | 0..1 | instant | When the resource version last changed |
 profile | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | |
| status | C | 1..1 | code | MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release' inv-mr-obs-vitalsign-status-01: MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release' |
| code | ||||
| coding | S | 2..* | Coding | Code defined by a terminology system |
  coding:bodyHeightSNOMED-CT | S | 1..1 | Coding | Code defined by a terminology system |
  system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 50373000 | |
 subject | 1..1 | Reference(MediRecords Core Patient) | Who and/or what the observation is about | |
| encounter | S | 0..1 | Reference(MediRecords Core Encounter) | Healthcare event during which this observation is made |
 effectiveDateTime | S | 1..1 | dateTime | Often just a dateTime for Vital Signs |
| performer | S | 0..1 | Reference(MediRecords Core Practitioner) | Who is responsible for the observation |
| value[x] | 1..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. | |
| valueQuantity | 1..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Required Pattern: At least the following | |
 unit | 1..1 | string | Unit representation Fixed Value: cm | |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: cm | |
| value | C | 1..1 | decimal | Numerical value (with implicit precision) inv-mr-obs-vitalsign-valueQuantity-value-01: Value must conform to format: nnn.n or nnn - maximum 3 digits and maximum 1 decimal |
| component | 0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | observation-bodyheight | FHIR Body Height Profile | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
 meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
 extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated | SΣ | 0..1 | instant | When the resource version last changed | ||||
| source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile | Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status | ?!SΣC | 1..1 | code | MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release' Binding: ObservationStatus (required) inv-mr-obs-vitalsign-status-01: MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release' | ||||
 Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
 category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
 coding | SΣ | 1..* | Coding | Code defined by a terminology system | ||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| code | SΣ | 1..1 | CodeableConcept | Body Height Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system | ||||
 coding:BodyHeightCode | Σ | 1..1 | Coding | Code defined by a terminology system | ||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8302-2 | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:bodyHeightSNOMED-CT | SΣ | 1..1 | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 50373000 | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject | SΣ | 1..1 | Reference(MediRecords Core Patient) | Who and/or what the observation is about | ||||
| focus | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter | SΣ | 0..1 | Reference(MediRecords Core Encounter) | Healthcare event during which this observation is made | ||||
| Slices for effective[x] | SΣC | 1..1 | dateTime | Often just a dateTime for Vital Signs Slice: Unordered, Closed by type:$this | ||||
 effective[x]:effectiveDateTime | SΣC | 1..1 | dateTime | Often just a dateTime for Vital Signs | ||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | SΣ | 0..1 | Reference(MediRecords Core Practitioner) | Who is responsible for the observation | ||||
| Slices for value[x] | SΣC | 1..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueQuantity | SΣC | 1..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 1..1 | string | Unit representation Fixed Value: cm | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: cm | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | SΣC | 1..1 | decimal | Numerical value (with implicit precision) inv-mr-obs-vitalsign-valueQuantity-value-01: Value must conform to format: nnn.n or nnn - maximum 3 digits and maximum 1 decimal | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | SΣ | 1..1 | string | Unit representation | ||||
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code | SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Binding: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference. | ||||
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note | 0..* | Annotation | Comments about the observation | |||||
| bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age | 0..1 | Range | Applicable age range, if relevant | |||||
| text | 0..1 | string | Text based reference range in an observation | |||||
| hasMember | Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
| Documentation for this format | ||||||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | observation-bodyheight | FHIR Body Height Profile |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| lastUpdated | Σ | 0..1 | instant | When the resource version last changed |
| status | ?!ΣC | 1..1 | code | MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release' Binding: ObservationStatus (required) inv-mr-obs-vitalsign-status-01: MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release' |
| Slices for category | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
| category:VSCat | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
 coding | Σ | 1..* | Coding | Code defined by a terminology system |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
| code | Σ | 1..1 | CodeableConcept | Body Height Binding: VitalSigns (extensible): This identifies the vital sign result type. |
| Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system |
| coding:bodyHeightSNOMED-CT | Σ | 1..1 | Coding | Code defined by a terminology system |
| subject | Σ | 1..1 | Reference(MediRecords Core Patient) | Who and/or what the observation is about |
| encounter | Σ | 0..1 | Reference(MediRecords Core Encounter) | Healthcare event during which this observation is made |
| Slices for effective[x] | ΣC | 1..1 | dateTime | Often just a dateTime for Vital Signs Slice: Unordered, Closed by type:$this |
| effective[x]:effectiveDateTime | ΣC | 1..1 | dateTime | Often just a dateTime for Vital Signs |
| performer | Σ | 0..1 | Reference(MediRecords Core Practitioner) | Who is responsible for the observation |
| Slices for value[x] | ΣC | 1..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this |
| value[x]:valueQuantity | ΣC | 1..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Required Pattern: At least the following |
| unit | 1..1 | string | Unit representation Fixed Value: cm | |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: cm | |
| value | ΣC | 1..1 | decimal | Numerical value (with implicit precision) inv-mr-obs-vitalsign-valueQuantity-value-01: Value must conform to format: nnn.n or nnn - maximum 3 digits and maximum 1 decimal |
| unit | Σ | 1..1 | string | Unit representation |
| system | ΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Binding: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference. |
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
This structure is derived from observation-bodyheight
Differential View
This structure is derived from observation-bodyheight
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | observation-bodyheight | FHIR Body Height Profile | |
| meta | ||||
| lastUpdated | S | 0..1 | instant | When the resource version last changed |
| profile | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | |
| status | C | 1..1 | code | MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release' inv-mr-obs-vitalsign-status-01: MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release' |
| code | ||||
| coding | S | 2..* | Coding | Code defined by a terminology system |
| coding:bodyHeightSNOMED-CT | S | 1..1 | Coding | Code defined by a terminology system |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 50373000 | |
| subject | 1..1 | Reference(MediRecords Core Patient) | Who and/or what the observation is about | |
| encounter | S | 0..1 | Reference(MediRecords Core Encounter) | Healthcare event during which this observation is made |
| effectiveDateTime | S | 1..1 | dateTime | Often just a dateTime for Vital Signs |
| performer | S | 0..1 | Reference(MediRecords Core Practitioner) | Who is responsible for the observation |
| value[x] | 1..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. | |
| valueQuantity | 1..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Required Pattern: At least the following | |
| unit | 1..1 | string | Unit representation Fixed Value: cm | |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: cm | |
| value | C | 1..1 | decimal | Numerical value (with implicit precision) inv-mr-obs-vitalsign-valueQuantity-value-01: Value must conform to format: nnn.n or nnn - maximum 3 digits and maximum 1 decimal |
| component | 0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | observation-bodyheight | FHIR Body Height Profile | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated | SΣ | 0..1 | instant | When the resource version last changed | ||||
| source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile | Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status | ?!SΣC | 1..1 | code | MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release' Binding: ObservationStatus (required) inv-mr-obs-vitalsign-status-01: MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release' | ||||
| Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | SΣ | 1..* | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| code | SΣ | 1..1 | CodeableConcept | Body Height Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system | ||||
| coding:BodyHeightCode | Σ | 1..1 | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8302-2 | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:bodyHeightSNOMED-CT | SΣ | 1..1 | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 50373000 | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject | SΣ | 1..1 | Reference(MediRecords Core Patient) | Who and/or what the observation is about | ||||
| focus | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter | SΣ | 0..1 | Reference(MediRecords Core Encounter) | Healthcare event during which this observation is made | ||||
| Slices for effective[x] | SΣC | 1..1 | dateTime | Often just a dateTime for Vital Signs Slice: Unordered, Closed by type:$this | ||||
| effective[x]:effectiveDateTime | SΣC | 1..1 | dateTime | Often just a dateTime for Vital Signs | ||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | SΣ | 0..1 | Reference(MediRecords Core Practitioner) | Who is responsible for the observation | ||||
| Slices for value[x] | SΣC | 1..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueQuantity | SΣC | 1..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 1..1 | string | Unit representation Fixed Value: cm | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: cm | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | SΣC | 1..1 | decimal | Numerical value (with implicit precision) inv-mr-obs-vitalsign-valueQuantity-value-01: Value must conform to format: nnn.n or nnn - maximum 3 digits and maximum 1 decimal | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | SΣ | 1..1 | string | Unit representation | ||||
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code | SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Binding: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference. | ||||
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note | 0..* | Annotation | Comments about the observation | |||||
| bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age | 0..1 | Range | Applicable age range, if relevant | |||||
| text | 0..1 | string | Text based reference range in an observation | |||||
| hasMember | Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
| Documentation for this format | ||||||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet | ||||
| Observation.meta.security | extensible | All Security Labels | ||||
| Observation.meta.tag | example | CommonTags | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.category:VSCat | preferred | ObservationCategoryCodes | ||||
| Observation.code | extensible | VitalSigns | ||||
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparator | ||||
| Observation.value[x]:valueQuantity.code | required | BodyLengthUnits | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | extensible | VitalSigns | ||||
| Observation.component.value[x] | required | VitalSignsUnits | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| inv-mr-obs-vitalsign-status-01 | error | Observation.status | MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release' : $this.exists() implies ($this = 'final' or $this = 'entered-in-error') | |
| inv-mr-obs-vitalsign-valueQuantity-value-01 | error | Observation.value[x]:valueQuantity.value | Value must conform to format: nnn.n or nnn - maximum 3 digits and maximum 1 decimal : ($this as decimal).toString().matches('^(\\d{1,3}|\\d{0,3}\\.\\d{1,1})$') | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| vs-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : ($this as dateTime).toString().length() >= 8 |